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Individual

ANA F LANZAQUE RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
6405 NW 36TH ST STE 100, VIRGINIA GARDENS, FL 33166-6977
(786) 953-8500
Mailing address
6260 SW 27TH ST, MIAMI, FL 33155-3015

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-321949
FL

Other

Enumeration date
07/03/2024
Last updated
07/03/2024
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